UK: Most children who think they’re transgender are just going through a ‘phase’

Most children who believe that they are transgender are just going through a “phase”, the NHS has said, as it warns that doctors should not encourage them to change their names and pronouns.

NHS England has announced plans for tightening controls on the treatment of under 18s questioning their gender, including a ban on prescribing puberty blockers outside of strict clinical trials.

The services, which will replace the controversial Tavistock clinic, will be led by medical doctors rather than therapists and will consider the impact of other conditions such as autism and mental health issues.

The plans, which are currently under public consultation, are for an interim service for young people with gender dysphoria whilst Dr Hilary Cass continues her review into the treatment offered by the NHS.

They note that there is a need to change the services because there is currently “scarce and inconclusive evidence to support clinical decision-making”.

NHS England says that the interim Cass Report has advised that even social transition, such as changing a young person’s name and pronouns or the way that they dress, is not a “neutral act” that could have “significant effects” in terms of “psychological functioning”.

Parent groups and professionals have long raised concerns that NHS medics have taken an “affirmative” approach to treating children, including using their preferred names and pronouns.

The proposals say that the new clinical approach will for younger children “reflect evidence that in most cases gender incongruence does not persist into adolescence” and doctors should be mindful this might be a “transient phase”.

Instead of encouraging transition, medics should take “a watchful approach” to see how a young person’s conditions develop, the plans state.

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